| NPI | 1114686268 |
|---|---|
| Former Name | KRIS ANNE KILLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 10659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |